Tanya Donielle Redd, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7020 Issued in NC

Practice address

2006 New Garden Rd Ste 101
Greensboro, NC 27410-2567

Phone

(336) 286-2400

Fax

(336) 419-4504

NPI assigned

Jul 6, 2006

Last updated

Apr 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1619909389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 NEW GARDEN RD STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102567",
            "telephone_number": "336-286-2400",
            "fax_number": "336-419-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 NEW GARDEN RD STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102567",
            "telephone_number": "336-286-2400",
            "fax_number": "336-419-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDD",
        "first_name": "TANYA",
        "middle_name": "DONIELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899010L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Recendez
• Tiffany Recendez
• Reching Your Goals
• Recovery Innovations of North Carolina, Inc.
• Red I Optical, Inc (Dr. Charlie Byrnes)
• Johnathan Brett Reddick, APRN, CNP
• John Fulton Redding II, MD
• Keertan Reddy, MD
• Keshavpal G Reddy, M.D.
• Mahitha G Reddy, M.D.

• General Practice Dentistry in Greensboro, NC
• Providers in Greensboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.